*On Towards Understanding Local Priorities
*
Year III
DATA PROFILE
State 0 O·/a oma
Health Promotion and Policy Analysis
Oklahoma State Department of Health
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PLUTO YEAR 3 STATE PROFILE __
OKLAHOMA STATE DEPARTMENT OF HEALTH •••• Oklahoma
Demographics Males Females Income/Poverty
# All % % %Amer. % # All % % %Amer. % State u.s.
Races White Black Indian Asian Races State -- -- ---- -W-hite -Bl-ack -In-dian -A-sian IInnccoommee ~~;,~I\~.
Data Not Available at This' -r:irilE(
State U.S. Year 2000 Goal
62% 70%
Injury Prevention
38
Brain
Spinal Cord
§ Motor Vehicle
§ Burn
§ Submersion
Firearm
Homicide
Suicide
State Fatal State Non-Fatal State Overall
Frequency Frequency Rate/100,OOO
2,615 6,761 99.4
73 656 4.6
3,435 N/A $100,000 2.6% 0.5% 0.8% 3.1% 0.6% 2.3% 4.8% 1.3% 1.4% 7.5% 1.1% 4.4% -- -- -- -- -- -- -- -- -- -- -- --
Totals 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
ill Sentinel Objective Indicator See "Data Sources and Definitions" page for more information about the data.
Data Sources and Definitions
General Notes
OSDH stands for Oklahoma State Department of Health.
For citations of data sources and definitions the following format will be used:
Indicator name (year of state data, year of national data), Definition/Notes, Source of Data.
§ Indicates that the data is a good indicator of outcomes which relate to Healthy
Oklahomans 2000 Sentinel Objectives. Sentinel Objectives were selected by OSDH staff
as the best indicators of desired health related outcomes within each OSDH program
area.
All rates are based on 1990 census numbers, unless otherwise noted.
No statistical analysis has been performed to determine whether differences in rates are
significant.
Demographics
Population estimates by gender, race/ethnicity and age groups (1992, 1992). Source: Bureau
of Census, US Department of Commerce.
Income/Poverty
Poverty by age group, and % of Households Headed by Single Females (1990, 1990).
Source: Bureau of Census, US Department of Commerce.
Per Capita Income and Median Household Income (1990, 1990). Source: Bureau of
Economic Analysis, US Department of Commerce;
http://www.census.gov/cdromllookup on Database: C90STF3Cl.
Unemployment Rates (three-month average from August through October 1995, three-month
average from August through October 1995). Source: Oklahoma Labor Market
Information Newsletter, Volume V, Issues 8, 9, and 10, Oklahoma Employment Security
Commission; U.S. Bureau of Labor Statistics WWW Server
http://stats.bls.gov/eag.table.html.
Nursing Home
Nursing Home Beds per 1,000 and Patient Rates per 1,000 (1995, 1991) are based on the
population of Oklahomans age 75 and over as of June 1995. Source: Certificate of Need,
OSDH; Health Care State Rankings 1994.
Communicable Disease
All communicable disease rates are number of cases per 100,000 population.
Chlamydia, Syphilis, Gonorrhea, and Hepatitis B (1994,1994). Gonorrhea is not reportable
in all states. Source: HIV/STD Service, OSDH.
HIV and AIDS (1994, 1994) are reported cumulatively for the county and do not include
people who have died from the disease. Source: HIV/STD Service, OSDH.
* Indicates counties with two or fewer cumulative HIV or AIDS cases.
Hepatitis A, Rabies, Salmonellosis, and Shigellosis (1994, 1994). Source: Communicable
Disease Division, OSDH.
Tuberculosis (1994, 1994). * Due to a significant increase during 1994 and 1995 in the
number of patients placed on TB Preventive Therapy, current descriptive data is not
available. Source: Acute Disease Service, OSDH.
Measles and Pertussis (1994, 1994). Source: Immunization Division, Child Health and
Guidance Service, OSDH.
Percent of children immunized by 2 years of age (1995, 1995) includes children born in 1992
who received immunizations from the health department. These rates do not include
vaccinations given by private physicians, Indian Health Service, military, community
clinics, etc. Therefore, the immunization rate is not a comprehensive figure. NHD - No
County Health Department. Source: Immunization Division, Child Health and Guidance
Service, OSDH.
Perinatal and Child
Source: Maternal and Child Health, OSDH. Note: Unknown values are excluded from
percent calculations.
Total Birth Rate (1994, 1993) represent total births divided by population x 1,000.
Low Birth Weight, and Very Low Birth Weight (1990-1994 average) represent the number of
low birth weight births divided by total births x 100.
Teen Live Births (1992-1994 average, 1993) represent the number of births per 1,000 females
in the specified age group.
Care in 1st Trimester (1990-1994 average, 1993) represents the number of women entering
prenatal care in the first three months of pregnancy di vided by total births x 100.
Short Interval Births (1990-1994 average, 1993) represents the number of mothers having a
second birth within two years (excluding twins) divided by the number with previous
births x 100.
Unintended Births (1993 estimate, 1990 estimate).
Neonatal Mortality, Infant and Fetal Mortality (1990-1994 average, 1992) represent the
number of deaths per 1,000 live births.
Child Abuse (allegedll ,000) and Child Abuse (confirmed! I ,000) (1994, 1994) include
physical abuse, sexual abuse and neglect. Source: National Committee to Prevent Child
Abuse Fact Sheet.
Causes of Death
Causes of Death are three-year average (1992-1994, 1992) age-adjusted death rates per
100,000. Death rates are adjusted to compensate for the differences in age demographics
between localities. Death rates include all people who died who were residents of
Oklahoma regardless of where they died. In previous versions of this profile, State of
Occurrence was used for the top 10 causes of death listings. The leading causes of death
are based on the International Classification of Disease, Ninth Revision (/CD-9):
Accidents (E800-E949); All Other Infectious and Parasitic Diseases (001-003,005,020-
032,037,039-044,046-054,056-066,071-088, 098-139); Benign Tumors (210-239);
Birth Defects (740-759); Bleeding of the StomachlIntestines (578); Blood Stream
Infection (038); Cancer (140-208); Chronic Liver Disease and Cirrhosis (574-575);
Chronic Obstructive Lung Diseases (490-496); Complications of Pregnancy & Childbirth
(630-676); Conditions Caused by Chronic Liver Disease (572); Diabetes Mellitus (250);
Hardening of the Arteries (440); Heart Disease (390-398, 402, 404-429); High Blood
Pressure (401, 403); Homicide and Other Legal Interventions (E960-E978); III Defined
Conditions: (780-799); Injuries from All Other External Causes (E980-E999); Kidney
Diseases (580-589); Obesity and Other I-Iyperalimentation (278); Other Cerebral
Degenerations (331); Other Diseases of Arteries/Arterioles (441-448); Other Diseases of
the Lung (518); Other Disorders of the Liver (573); Perinatal Conditions (760-779);
Pneumonia and Influenza (480-487); Stroke (430-438); Suicide (E950-E959); Ulcer of
Stomach and Duodenum (531-533). Source: Public I-Iealth Statistics, OSDI-I; Health
United States. 1994. USDI-II-IS.
Behavioral Risk Factors
The items in this section are percentages of the total adult population (ages 18 and older) for
selected behavioral risks (1991 thru 1994 averages).
Overweight = Females with Body Mass Index (weight in kilograms divided by height in
meters squared (w/h**2» >=27.3 and males with Body Mass Index >= 27.8.
Smoking Cigarettes = percentage of the toial population age 18 and over that is currently
smoking cigarettes.
Sedentary Lifestyle = Respondents who reported no physical activity or who reported a
physical activity or pair of activities that were done for 20 minutes or less, fewer than
three times per week.
Source: Oklahoma Behavioral Risk Factor Surveillance System (BRFSS), OSDI-I.
Injury Prevention
All rates are number of cases per 100,000. Source: Injury Prevention, OSDH.
Brain Injuries (1992-1994 averages).
Spinal Cord, Bum, and Submersion Injuries (1990-1994 averages).
I-Iomicide, Suicide, Motor Vehicle, and Firearm Injuries (1990-1994 averages, 1990-1991).
Hospital Utilization
Hospital Utilization data (1994) were obtained from the 1994 Hospital Utilization and Plan
Survey (HUPS). Medicare Utilization is the percent of hospital admissions who are on
Medicare. Medicaid Utilization is the percent of hospital admissions who are on
Medicaid. Source: Planning and Policy Analysis, OSDH.
Oral Health
Residents Drinking Fluoridated Water rates were calculated using a) the 1992 Fluoridation
Census, Centers for Disease Control, Division of Oral Health; and b) 1992 population
estimates provided by the US Bureau of Census, Oklahoma State Data Center,
Oklahoma Department of Commerce. US rates are for 1992. Source: Dental Services,
0501-1.
Number of Counties with Dental Education and Tobacco Use Prevention Programs (1995).
Sources: Dentall-lealth Services, OSDH; Oklahoma City-County Health Dept.; Tulsa
City-County Health Dep!.
Public Assistance
Food Stamps, Medicaid, and AFDC (FY 1994, 1990). Source: Oklahoma Department of
Human Services FY 1994 Annual Report;
http://www.census.gov/ftp/pub/populationlpop-profile/progpart.htm
WIC data (1994,1994) may not include Indian Health Service WIC sites for some counties.
The percentage of WIC clients served would be higher if the Indian population were
included. Source: W1C, OSDI-I.
Education by Race
Education by Race (1990) is based on population age 25 years and older. Source: Bureau of
Census, US Department of Commerce.
Unemployment Rate
Source: Bureau of Labor Statistics WWW Server: State Rates
gopher://hopi2. bls.gov:70/00hopiftp.dev/time.series/la/la.dataA 3.Oklahoma; U. S. Rates
http://stats.bls.gov/eag.table.html
Percentage of Households by Household Income Level and Race
Household Income by Race data (1990, 1990) include only persons aged 25 years and older.
Source: Bureau of Census, US Department of Commerce.
Child Health and Guidance
Source: Child Health and Guidance Division, OSDl-1.
Uninsured age 0-17 (est) (1993 estimate, 1990-1992 average) is based on a percentage
obtained from a 1988 study and applied to 1993 population estimates.
Elevated Blood Lead Levels rates (1994 averages, 1993) include children from 6 months to 6
years old.
Children With Special Needs data (1994 estimate) based on adaptations of the 1992 CSI-ICN
Needs Assessment conducted by the Department of Human Services and includes
children with developmental disabilities; hearing, speech, and vision problems;
congenital disorders; mental retardation; and chronic illness.
Children Below 5th Percentile for Anemia, and Children Above 95th Percentile for Weight
(1994, 1994) were obtained from the Pediatric Nutrition Surveillance System, and are
based on children under 5 years of age participating in the WIC Program.
Health Service Providers
M.D. (1995, 1994). Source: Oklahoma Board of Medical Licensure and Supervision; AMA
Publication "Physician Characteristics and Distribution in the US," 1995-96 Edition.
P.A. (1995). Source: Oklahoma Board of Medical Licensure and Supervision
D.O. (1995, 1993). Source: Oklahoma Board of Osteopathic Examiners; Health Care State
Rankings 1994.
• Primary Care Physicians are physicians (MDs and DOs) in the following specialty
groups: Family Practice, General Practice, General Internal Medicine, Pediatrics and
Obstetrics and Gynecology.
Dentists (1995, 1992) Oklahoma data includes all licensed dentists; U.S. data excludes
dentists in military service, U.S. Public Health Service, and the Veteran's
Administration. Source: Oklahoma Board of Governors of Registered Dentists; Health
United States, 1994, US Department of Health and Human Services, Public Health
Service.
Nurse Practitioners (1995, 1995) Source: Oklahoma Board of Nursing, 1995 Annual Report;
American Nursing Association publication Today's Registered Nurse: Numbers and
Demographics.
EMTs (1996) Number of Licensed Emergency Medical Technicians is based on Residence
address, not work location. Source: Emergency Medical Services, OSDH.
I • State oNational I Oklahoma
Race/Ethn icity Percent Living in Poverty by Age
Hispanic
Asian
Indian
Black
White ~~ -~....~..,..~~'~-~"!'~"~'~~"~"'~""~""~''''~'''~''i'~'''~'' ~""~"~'J"!-"'~-" J
20% 40% 60% 80%
Graduate ij;"~';;~';..,'~~,,;;!.i'''J'-r-l--r-l--r-l
Degree ~I
Bachelor's
Degree
Associate
Degree
0%
Percent o' Population
Education Levels
I
I
0% 10% 20% 30%
Percent of Population
~I
30% 35%
Age 45-64
I
9-12th Grade
0% 5% 10% 15% 20% 25%
Percent of Population
Age 20-44
40%
0% 5% 10% 15% 20% 25% 30%
Percent of Age Group
Income Relative to Poverty Levels
Income < 200"0
Poverty
Inoome < 185%
Poverty
Income < 150%
Poverty
I noome < 100%
Poverty
0% 10% 20% 30%
Percent of Population
Income
Median Family
Income
Per Capita
Income
$0 $10,000 $20,000
Income
$30,000 $40,000
40%
Public Assistance
Receiving I ;;'·:.:i'·;:J.i~'.';P:\,c/N.x,: I
AFDC + I
Receiving 1?,#:i..-:),n·· " ",',
Medicaid + I Receiving Food li';i";~"f".':it,,;i')i\;f:'·i?;':i;;\;>,;';i,,·"'(ij,,\.l!;.i';";i" I
Stamps
0% 5% 10% 15% 20%
Percent of Population
Household Income Levels
$100,000+ .?,;;:id'
$75,000 - i'(i:'''~",r~.i", ~',';..,i-
$74,999 + $35,000 - I.·"'''»'':~''';;{;i;'i;'~;;''''.''i';'-';:(!i~'''·';''t:'j'·:·',::;;;':·,·;;':f··'·'·"T:":;::t'.,.':i':.::.\'{",;.;ji::F;"';:'T';."C
o 20 40 50 50%
Percent
10 30 75% 100% 0% 100%
Per 1000
0% 25% 20% 40% 60% 80%
Percent of Residents
Infant, Neonatal & Fetal Death
Rates
8
Pregnancy Outcome Indicators Child Health Indicators
Ii*" >95th Percentile
for Weight
Age
0-5
-cSth Percentile for
Anemia
~ Neonatal 1~~~tT:!}.~~\f~~t~t.:~:~?>';.\~~~'~t~!lf.~k~j~
~ Fetal
t I
t I Ii*" Receiving 1st
T rimester Care ,$ ;,~.\\i\,)'l~~~"·!:'\I~~)\.t~I~,'·!:.;·d:l',~W,,~j,.~i~;\~\'I;i'):;
0% 10% 15% 20% 25%
~
10 0% 20% 40% 60% 80% 100% 5%
Percent
Infant r~rt~l[~;::b.';;"~